Get Notarized Authorization For Release Of Records Department - Floridajobs

This guide provides clear and comprehensive steps for completing the Notarized Authorization For Release Of Records Department - Floridajobs form online. It aims to assist users in accurately filling out the necessary information while maintaining confidentiality and adhering to the requirements set by the Department of Economic Opportunity.

Follow the steps to complete the form confidently and accurately.

1. Press the ‘Get Form’ button to access the Notarized Authorization For Release Of Records Department - Floridajobs form. This allows you to open it in an editable format.
2. In Section I, confirm that you have applied for Florida RA benefits in the past year. You must also complete Section II and provide your signature in Section IV.
3. Specify in Section I the type of information you are requesting from the Department of Economic Opportunity's records. Options include claim documents, a computer printout of benefit payments, or another specified type of information.
4. In Section II, provide the requested personal details of the individual whose records you are accessing. This includes their full name, Social Security number, address, date of birth, and telephone number. Note that the Social Security number is required for record retrieval.
5. In Section III, indicate whether you are authorizing the release of your records or those of another individual. Be aware that the information may include sensitive details like benefit amounts, medical history, and any drug test information.
6. If this request pertains to a court case, provide the relevant details including the case style, case number, and jurisdiction. Ensure that you fully understand that this authorization remains valid until the conclusion of the mentioned case.
7. Complete the section for directing where the information will be sent, including a name, address, city, state, zip code, and telephone number.
8. In Section IV, the subject of the request must sign and date the form. This signature must be acknowledged before a notary. Ensure that you complete the notary section with the relevant details.
9. Once all sections are completed, review all information for accuracy. Save your changes, and if needed, download, print, or share the completed form as required.

Start completing your Notarized Authorization For Release Of Records Department - Floridajobs form online now to ensure your requests are processed efficiently.